250486 1 0/08/1 5 ,CAA.
�'y.. yf CITY OF CARMEL, INDIANA VENDOR: 368012
(b it ONE CIVIC SQUARE SERVERSUPPLY.COM CHECK AMOUNT: S"'""'715.00'
}. =4 CARMEL, INDIANA 46032 750 SHAMES DRIVE CHECK NUMBER: 250486
�� s WESTBURY NY 11590 CHECK DATE: 10/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4350100 32508 2711146 715.00 HP SMART BUY
(7110.
Invoice/Order# 2711146
of Date 9/17/2015
750 Shames^Dr.
Westbury, New York 11590
516-334-7700 Time 1:57:04 PM
516-334-7727 Fax
Bill To Ship To
Carmel Police Department/HBCDTF Carmel Police Department/HBCDTF
Marie Doan/Accounts Payable Aaron Dietz
3 Civic Square 3 Civic Square
Carmel IN 46032 Carmel, IN 46032 USA
317-571-2522, USA Reference 32508
Rep Terms Delivery Tax Rate
INTERNET Net 30 Ground Tax Exempt
QTY Part Number Description Unit Cost Sub Total
1 JE007AS HP-SMART BUY 1910-24G-POE(365 W)SWITCH-24 PORTS $715.00 $715.00
SWITCH-MANAGED(JE007AS#ABA).NEW RETAIL FACTORY
SEALED WITH STANDARD MFG WARRANTY.
SubTotal $715.00
TAX EXEMPT Tax $0,00
Shipping $0.00
Total $715.00
https:ltwww.serversupply.com/policies.asp
Tracker: : 1ZY5R6930345560387 Shipped Via:UPS
Status:Shipping/Shipped
Customer PO# : 32508
- INDIANA RETAIL TAX EXEMPT PAGECiOf Car , e l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 311
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
I?/��11 ;
�t/r V i,'L �1J1a � '�•
VENDOR SHIP
+� ('
TO \3 i,t./✓I C
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
/ TCo 07.9, . 71�5.
®o � �a
71
@ A t
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT �so/-00 7/5�.
• /VP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• h�, ) � ''^-� •
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY W,v
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 5 0 8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
Prescribed by State Board or Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/17/15 2711146 $715.00
1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Server Supply
IN SUM OF $
750 Shames Dr.
Westbury, NY 11590
$715.00
ON ACCOUNT OF APPROPRIATION FOR
Project 2015-911 Task 2015-2
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1 hereby certify that the attached invoice(s), or
2508 2711146 43-501.00 $715.00
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
v
�v
@ received except
V
Wednesday, September 30, 2015
G���- -D-A
Major
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund